NCLEX-RN
Maternity RN NCLEX Questions Questions
Extract:
Question 1 of 5
The physician orders an amniocentesis for a primigravid client at 35 weeks' gestation in early labor to determine fetal lung maturity. Which of the following is an indicator of fetal lung maturity?
Correct Answer: D
Rationale: The lecithin-sphingomyelin (L/S) ratio in amniotic fluid is a key indicator of fetal lung maturity, with a ratio of 2:1 or higher indicating mature lungs. Bilirubin, red blood cells, and Barr body determination are not used for this purpose.
Question 2 of 5
A client is considering the withdrawal method. Which of the following statements by the nurse is accurate?
Correct Answer: B
Rationale: The withdrawal method has a high failure rate due to pre-ejaculate and timing issues and does not protect against STIs. It does not require a prescription and is less effective than oral contraceptives.
Question 3 of 5
After instructing a primiparous client who is bottle-feeding about burping, which of the following client statements indicates that the client needs further teaching?
Correct Answer: B
Rationale: Burping after one-half ounce is too frequent and may disrupt feeding; burping every 1-2 ounces is more appropriate.
Question 4 of 5
A primigravid client in active labor with a fetus in LOP position complains of severe back pressure. Which of the following would be the priority nursing diagnosis for this client?
Correct Answer: D
Rationale: Severe back pain due to the LOP position is a priority, as it impacts the client's comfort and labor experience. Pain management (e.g., counterpressure) is critical. Anxiety, coping, and urinary retention are secondary concerns.
Question 5 of 5
A client asks about the risks of long-term oral contraceptive use. Which of the following would the nurse include in the response?
Correct Answer: B
Rationale: Long-term use of oral contraceptives may increase the risk of blood clots, especially in smokers or those with other risk factors. It reduces ovarian cancer risk, does not cause permanent infertility, and weight changes vary.